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� Advanced <br /> CHAIN OF CUSTOAECQRD <br /> 7 � <br /> GeciEnvironmental, Inc Date 4 Page of Z_ <br /> U ~ 837 Shaw Road- Stockton, California-95215 - (209) 467-1006 -Fax (2€39) 467-1118 '� Z 'o � L# <br /> ja <br /> Client Project Manager <br /> � Tests Required <br /> Phone'Number <br /> La@ 100 <br /> Samplers (Signature) Invoice <br /> AGE <br /> Pra;ect[Name J , nX. r , { Chent <br /> Sample Type . / -1 <br /> Sample locationNo of t 'r,/ <br /> Date Time Water Solid �f Notes <br /> Number Description Comp Grab Air Corns /r <br /> 14 <br /> t+ �r <br /> if <br /> �f <br /> 6T Z cu _!P�_ <br /> As <br /> t � ` 3 ; 'f to <br /> else Uished by ignaturef ecesve y (Signature) Oat fr€me <br /> SiA j 1Zz1 � <br /> Relinquished by (Signature) Received by (Signature) UtefT;rne <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Reca€vcd for Laboratory by Datefrime <br /> 6? <br /> Method of Shipment ff� , Laboratory N i <br /> cf� V � co <br /> Spec€at <br /> instructions I hereb author€m the performance of the above €nd€cated work <br />